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Home My WebLink AboutP2023-0117 - Permitsea�WPpR' City of Newport Beach O s Community Development Department - Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 U z Permit Counter Phone: (949) 644-3288 Cq�'Fp0.N�P Inspection Requests Phone: (949) 644-3255 newportbeachea.gov/inspections ��III��III�IIIIill�I��11111111111111111111�111 jj Plumbing Permit : P2023-o1 1 7 Plan Check No : PC2023-0372 Work Class : Other Issued Date: 03/16/2023 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2415 FRANCISCO DR Description : PLUMB - GAS LINE TO BBC Legal Desc : Owner: SUN DONALD TR D SUN 2003 IRREVOC TR Address : 2415 FRANCISCO DR NEWPORT BEACH, CA 92660 Phone : (714) 626-5819 Applicant: MERIDIAN CUSTOM POOLS INC Address : 23905 CLINTON KEITH RD 186-114 WILDOMAR, CA 92595 Phone : (800) 616-7946 Owner/Builder : Address: Phone: Code Edition : 2022 Type of Construction Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Contractor : MERIDIAN CUSTOM POOLS INC Address : 23905 CLINTON KEITH RD 186-114 WILDOMAR, CA 92595 Phone : (800) 616-7946 Con State Lic : 775011 Lic Expire : 02/29/2024 Bus Lic : BT30076346 Bus Lic Expire:08131/2023 Workers' Compensation Insurance Carrier : NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascrt(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Coder Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the pormft tonic a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption.. Any violation of Section 7031..5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($w500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portionsof the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided that the improvements are not intended or offered for sale. 4, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale)_ ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Susness and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from ficensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal soli a structure that I have built as an owner -builder if it has not been constructed In itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:INw .leginfo.Ge.gov/calaw.htmi.. Signature of Property Owner or Authorized Agent,__ ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 70 i latva�t 3 of the Business and Profes ions ode,..a y license is in full force and effect. License Class License No Date I� Contractor Signalur COMPENSATION DECLARATION'S NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations_ ❑ 1 have and writ maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IhI performance of the work for which this permit Is issued. Podlcy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Rance carrier and policy number are: Number Expiration Date of Agent rtify that, in the porforjp6anceAktrlF—workF6r w h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens Lion I rs of California, and agree should become su ect to a worker 5ip4ensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. 3 nature of Applicant _ DaJW CLARATION REGAR G q ON UCT1ON LENDING AGENCY arehy affirm under pen.. y of perjury that there is a construction lending agencyfor the performance of the work for which this. permit is issued (Section 3097, Civil Code), )der's Name Lender's Address my signature below, ! certify to each of the following: I am the property owner or authorized to act on the property owner's b alf I have read this application and the information provided is c re I agree to comply with all applicable city and Unity antes a ate I relating to buildin construction. / ,r I authorize representatives of this city or cou ty to er the ale -iden" - r nspectlon purposes. ) .G /1 nature of Prnnr.Iv C)wnar nr AtIthnrl>ed Anne Print Pronsov Owner's or Aunmri�Rd Anant's Nam rn, 1 C/( ACTION 1 DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j 1 REGULATIONS PART 61 OF TITLE 40 ANC) AQMD RULE PERMITEXPIRED € iJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT FXTENOf e — r} PERMITFIN CERTIFICATEOF OCCUPANCYISSUEO �� -war L-.tAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO �PROPOSED DEMOLITION 8 SIGNATURE: LO C p U a Z W CG L) o Um O M m Atf- OQCD O O mF— W�°3'� Z( aU Vu. 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